VOLTEE PARA ESPAÑOL! SPRING 2016 Health THE KEY TO A GOOD LIFE TALK IS A GREAT PLAN What do you think? In a few weeks, you may get a survey in the mail. It asks how happy you are with UnitedHealthcare Community Plan. If you get a survey, please fill it out and mail it back. Your answers will be private. Your opinion helps us make the health plan better. Know your BMI Are you at a healthy weight? Two out of three adults are overweight or obese. So are one out of three children. Being overweight puts you at risk for many problems. These include heart disease, high blood pressure and Type 2 diabetes. Are you too heavy? Know your body mass index (BMI). This number tells you if your weight is too much for your height. 18.5 to 24.9 is a healthy weight. 25 to 29.9 is overweight. 30 or higher is obese. PRSRT STD U.S. Postage PAID United Health Group UnitedHealthcare Community Plan 795 Woodlands Pkwy., Ste. 301 Ridgeland, MS 39157 Know your number. Your doctor can tell you what your BMI is. Or you can enter your weight and height to find out your BMI at cdc.gov/healthyweight/assessing/bmi. AMC-038-MS-CAID
What to expect Remember your postpartum checkup. It s easy for a new mom to neglect her own health. But it s very important to see your doctor or midwife six weeks after you give birth. If you had a Cesarean section, you should also see your doctor or midwife two weeks after you give birth. At your postpartum checkup, your provider will: check to make sure you are healing well from childbirth screen you for postpartum depression do a pelvic exam let you know if you are ready to start having sex again talk about birth control options answer questions about breast-feeding and examine your breasts Pregnant? Join Healthy First Steps. This free program provides support and information. Call 1-877-813-3417 (TTY 711) to learn more. Ask Dr. Health E. Hound Q: Why does my child need to be tested for lead? A: Lead is a naturally occurring metal. It can be found in many places. It s common in older homes, in soil near busy roads, and in some imported products. Children can inhale or swallow lead. Lead poisoning can cause serious problems. It can affect your child s blood, bones or brain. It can cause slow growth or developmental problems. Many children with lead poisoning don t have symptoms. That s why testing is important. Experts recommend testing at ages 1 and 2. The test is done on a few drops of blood. If the test finds lead, there are treatments that can help. Cleaning up sources of lead can prevent lead poisoning from getting worse. Learn more. Read about lead poisoning and other children s health topics at UHCCommunityPlan.com/MSkids. 2 HEALTH TALK
The right care How utilization management works UnitedHealthcare Community Plan does utilization management (UM). All managed care health plans do. It s how we make sure our members are getting the right care at the right time and in the right place. A doctor reviews all coverage requests when the care does not seem to meet guidelines. Approval or denial decisions are based on care and service as well as your benefits. The decisions are not made because of financial or other rewards. Members and doctors have the right to appeal denials. The denial letter will tell you how to appeal. The appeal request must be submitted within 90 days of the denial. Questions? You can talk to our UM staff. Just call 1-877-743-8731 (TTY 711), toll-free. Your partner in health Your primary care provider (PCP) is the person you turn to when you are sick. He or she provides or coordinates your health care. But your PCP also wants to see you when you are well. Well visits help you and your provider get to know each other. They are also a good time for: important screenings and tests needed immunizations checking on chronic conditions monitoring medications you take coordinating care given by any specialists you see counseling about a healthy lifestyle discussions about mental health, substance use, safety and other topics When you see your PCP, tell him or her about: any medications or supplements you take any other providers you see, such as specialists or alternative providers any tests or treatments you have had any mental health or substance abuse treatment you get Well visits are covered at no cost to you. Has it been more than a year since your last well visit? Call your PCP to make an appointment today. 5 facts about chlamydia See your PCP. You should feel comfortable with your PCP. If you are not, choose a new one. Visit myuhc.com/communityplan or use the Health4Me app. Or call Member Services toll-free at 1-877-743-8731 (TTY 711). 1. Chlamydia is the most commonly diagnosed sexually transmitted infection. Both men and women can get it. 2. The bacteria that cause chlamydia are spread through sex. Using condoms can reduce the risk. 3. Chlamydia doesn t usually have any symptoms. Experts recommend sexually active women and teens aged 25 and younger get tested for it each year. Testing can be done on urine. 4. Chlamydia can be cured with antibiotics. Both partners should be treated. You should not have sex until treatment is complete. 5. If not treated, chlamydia can cause infertility. It can be passed to a baby at childbirth. It can also cause pregnancy complications or other serious problems. SPRING 2016 3
Need prescription assistance? Do you need help paying for your medications? We might be able to help! Contact Member Services for details at 1-877-743-8731 (TTY 711). Money for miles UnitedHealthcare Community Plan of Mississippi has raised the mileage reimbursement rate from $0.25 per mile to $0.50 per mile for a covered health care appointment. If you, a family member or friend has a vehicle, this simple change can put money in your pocket and make getting to your doctor easier. This exciting benefit offers: Hello, nurse! You or your child not feeling well? With so many choices, it can be hard to know where to look for trusted information and support. That s why we offer NurseLine services. They can give you peace of mind with answers to your health questions any time, from anywhere, 24 hours a day. When you call, a caring nurse can help you: choose the right medical care understand a wide range of symptoms decide if the emergency room, a doctor visit or self-care is right for your needs find a doctor, hospital or urgent care center understand treatment options learn more about a diagnosis achieve a healthful lifestyle learn about important health screenings and immunizations find out how to save money on prescriptions learn how to take medication safely and avoid interactions Call 24/7. Call NurseLine at 1-877-370-4009 (TTY 711), even on holidays, for health information and support. It s free. Certainty: Funds are loaded onto your card on the 15th and 30th of every month. Reliability: Funds are always loaded onto an existing card so you won t have to worry about a check getting lost in the mail. Convenience: You can use the funds on the card anywhere that accepts MasterCard. On the road. For more information on the Mileage Reimbursement Program, or to sign up to start receiving reimbursements, call MTM at 1-888-513-0703. 4 HEALTH TALK
Fre$h Savings Make your grocery dollar go further. Eating fruits and vegetables can help you stay healthy. If you lose your job or get sick, bills can add up fast. This makes it harder to buy healthy food. Fre$h Savings can help you buy more fresh, healthy food. Any SNAP shopper can get Fre$h Savings at a participating Kroger store or farmers market. Fre$h Savings lets you buy more fresh fruits and vegetables with your SNAP card. Here s how it works: At participating Kroger locations, spend $10 on fresh fruits and vegetables with your SNAP card. Get a Fre$h Savings coupon for half off your next purchase of fresh fruits and vegetables (up to a $10 value). At participating farmers market locations, spend up to $10 with your SNAP card. Get the same amount in Fre$h Savings tokens to spend on fresh fruits and vegetables. Each token is worth $1. Fre$h Savings is available at the following participating stores and markets in Mississippi: Kroger Grocery Stores Fre$h Savings is available year round at the following participating stores: Clarksdale: 870 South State St. Horn Lake: 7251 Interstate Dr. Pemberton Square: 3408 Pemberton Square Blvd. Farmers Markets Fre$h Savings is available seasonally at the following participating markets: Copiah County Farmers Market Intersection of Lake Street on Highway 28, Hazlehurst Saturdays 7:30 a.m. 2 p.m., February to August Crossroad Farmers Market 1536 Desoto Avenue, Clarksdale Fridays 2 7 p.m. and Saturdays 7 a.m. 2 p.m., May through November Mississippi Farmers Market 929 High Street, Jackson Saturdays 8 a.m. 2 p.m., year round; Tuesdays, Thursdays and Saturdays 8 a.m. 2 p.m., April through September Oxford City Farmers Market Community Pavilion (Old Armory) at the corner of University and Bramlett Blvd., Oxford Tuesdays 3 6:30 p.m., April through November Learn more. More Fre$h Savings locations are being added soon. Learn more at aarpfoundation.org/freshsavings. Funding for Fre$h Savings is made possible by grants from the United States Department of Agriculture and UnitedHealthcare, with additional support from AARP Foundation. Farm to Fork After a successful 2015 season, Farm to Fork is back for another summer. The program will again provide free vegetables to UnitedHealthcare Community Plan members from May through the end of September. Simply show up at one of the 18 distribution locations with your member ID card and go home with a bag of free farm-fresh produce. Where s my farm? Call Member Services at 1-877-743-8731 (TTY 711) toll-free or visit myuhc.com/communityplan to find a Farm to Fork location near you. SPRING 2016 5
By the book Have you read your Member Handbook? It is a great source of information. It tells you how to use your plan. It explains: the benefits and services you have the benefits and services you don t have (exclusions) how to find network providers how your prescription drug benefits work what to do if you need care when you are out of town when and how you can get care from an out-of-network provider your member rights and responsibilities our privacy policy if, when and how you may need to submit a claim where, when and how to get primary, after-hours, behavioral health, specialty, hospital and emergency care how to voice a complaint or appeal a coverage decision how to request an interpreter or get other help with language or translation how the plan decides if new treatments or technologies are covered how to report fraud and abuse Resource corner Get it all. You can read the Member Handbook online at myuhc.com/communityplan. Or call Member Services toll-free at 1-877-743-8731 (TTY 711) to request a copy of the handbook. Member Services Find a doctor, ask benefit questions or voice a complaint, in any language (toll-free). 1-877-743-8731 (TTY 711) NurseLine Get 24/7 health advice from a nurse (toll-free). 1-877-370-4009 (TTY 711) Baby Blocks Join a rewards program for pregnant women and new moms. UHCBabyBlocks.com Our website and app Find a provider, read your Member Handbook or see your ID card, wherever you are. myuhc.com/communityplan Health4Me KidsHealth Get reliable information on health topics about and for children and teens. UHCCommunityPlan.com/MSkids 6 HEALTH TALK